May 27, 2020: Guidelines for In-Clinic Visits

The Provincial Health Officer continues to recommend physical distancing measures to reduce the risk of
COVID-19. There are specific guidelines that all health care providers must follow to ensure the safety of our patients, staff, and the public. The most effective way to reduce the risk
of COVID-19 is by preventing exposure. For this reason, we will continue to provide care by telemedicine as much as possible. In some situations, it may be necessary for you to visit the
clinic in person. This guideline is to ensure that you know when in-clinic visits may be appropriate, and what to expect when you come to the clinic.

Prior to entering the clinic, all patients will be screened to ensure that:

It is safe for them to enter the clinic

It is necessary for them to enter the clinic

We are unable to see you at the clinic if:

You have fever, chills, a new or worsening cough, shortness of breath, sore throat, headache, muscle pain or runny
nose within 10 days prior to your appointment.

You have had close contact with anyone who has confirmed COVID-19 in the 2 weeks before your
appointment.

You have been travelling outside of Canada in the 2 weeks before your appointment.

If any of these apply to you, you are welcome to book a telemedicine consult, or reschedule your
appointment.

Is it necessary for you to enter the clinic?

It is your naturopathic doctors’ responsibility to assess whether you should be seen in clinic or not. We are
responsible for ensuring that the benefit of visiting the clinic out-weighs the risk of exposure, and that there is not a safer way to provide that benefit.

Appointments that will be offered in-clinic include laser therapy treatments, injections, and physical exams.

The majority of consultations will continue to be conducted by telemedicine. If your naturopathic physician
determines that a physical exam is necessary, a short in-clinic appointment will be scheduled. This reduces the time you need to spend in the clinic, which helps reduce
risk.

If you will be attending the clinic in person:

Bring a mask if you have one. You are not required to wear a mask, but you may be asked to do so depending on
the treatment that you are receiving. We do have masks available if you are unable to provide your own.

Please note and respect the posted occupancy limits and physical distancing requirements while in the
clinic.

Our waiting area is now in the back of the clinic. When you enter, please sanitize your hands, let the reception
staff know that you have arrived, and proceed to the seating area at the back of the clinic. If you prefer to wait outside, there will be a chair available outside the front
door.

To limit the number of people in the clinic, you must come alone unless you require assistance or there is a legal
requirement to be accompanied. Examples of this would include parents accompanying children under 19 years of age, legal guardians of patients who are unable to make their own health decisions,
and patients who require physical assistance.

March 18, 2020: Clinic Update

Hello to each of you.

A note to let you know what we are doing at the clinic with the current concern surrounding the COVID-19 pandemic.

We sent an email out earlier this week outlining the current concern and providing reliable information resources. If you did not receive this email, it is posted on our website under
"Latest News."

Our clinic remains open, however, we are asking that we conduct our consultations by phone unless it is essential for you to come to your appointment in person. If you are not sure, give
us a call or send an email.

Anyone with a fever, cough, or shortness of breath is asked to stay home.

We have limited reception support for the next two weeks. Dr. Hartman is in the clinic and will be replying to phone messages and emails throughout the day. In their absence, we
appreciate our amazing staff more than ever and thank you for your patience.

The dispensary is open. It is important at this time to limit the potential spread of COVID-19 as much as possible, so we ask you to help us out by limiting the number of people and amount
of time spent in the clinic:

Call or email ahead if you need supplements. We will have them ready to go so you can pick them up quickly. If you are in isolation, have someone pick up for you or ask us to mail
them. You can also request to have your items left outside in the mailbox or cooler.

We are disinfecting the front desk, door knobs, point-of-sale, and pens throughout the day. Please use the hand sanitizer at the front desk when you arrive and before you leave.

Our commitment is to be available to each of you through this stressful time. We will continue to offer care and support in a safe and responsible manner.

A gentle reminder to us all that this will pass. I also want to express such gratitude and appreciation for the measures everyone is taking to protect and support those around them.
Take a moment to feel proud of that.

Warmest regards,

Christi, Jessie, Ayla, Myriam

March 16, 2020 Current Events

A warm hello to everyone.

With the recent media attention around the COVID-19 virus, many of us are feeling anxious and unsure about the safety of ourselves and loved ones. We are sending this out to support you,
address some common questions many people are asking, and to ensure we are all taking appropriate steps to care for ourselves.

A significant amount of anxiety is arising from unreliable and untrue information being circulated on the internet. Reliable resources to find out about the COVID-19 virus include the BC
Centre for Disease Control, Health Canada, and the World Health Organization. All of these sites have great resources to help you understand the best way to reduce the risks associated with
this illness and to plan ahead in case we have an outbreak in our community. I have included the links to these sites at the end of this email.

What we know:

Currently, Nelson and the surrounding area are at at low risk for an outbreak.

80% of people who become infected will have a mild illness that does not require hospitalization.

People who are older than 65, immunocompromised, or who have other health conditions (such as lung disease, heart disease, diabetes) are at an increased risk for more severe illness and may
require hospitalization.

All travellers are asked to self-isolate for 2 weeks after returning from travel.

At this time there is no recommendation to self isolate unless you have been travelling or in contact with someone known to be infected with COVID-19.

Anyone with a fever, cough, or difficulty breathing is asked to stay home and to call public health (in BC, dial 8-1-1).

Recommendations have been made to avoid any gathering of more than 250 people. This is to reduce the risk of rapid spread.

The best way to reduce your risk of becoming sick is to wash your hands with warm water and soap for at least 20 seconds, or use an alcohol-based hand sanitizer with at least 60%
alcohol.

There are no medical or natural health products that have any reasonable level of evidence that they will protect you against COVID-19. There are a lot of false claims. Please be
critical and don’t let others take advantage of you.

If you are feeling anxious, turn off the news and do something you love. Establish a time to check a reliable source of information once a day – this is responsible and will provide you with
what you need to know. The BC Centre for Disease control is relevant to British Columbians and will post updates as the situation changes.

Spring is here. Take a moment to worry about coronavirus, then take the rest of the day to welcome the sunshine, birdsong, and safe walking opportunities. It is a wonderful time to
feel gratitude for what we have, to let others know how appreciated they are, and to take a moment to care for ourselves.

As of March 15, 2019, the fee schedule will be adjusted to be in compliance with the centralized fee schedule set by the College of Naturopathic Physicians
of British Columbia. Fees must be within 10% of the set schedule, which is currently $175/hr. We will continue to set our fee schedule below the recommended rate, as we feel that is
reasonable and fair when considering the socioeconomic factors in our region. We hope this is helpful to our patients in maintaining access to naturopathic care.

Fee Schedule as of March 15, 2019

Initial appointment (90 minutes) $240

Initial pediatric appointment (60 minutes) $160

Follow-up appointment (45 minutes) $120

Follow-up appointment (30 minutes) $80

Follow-up appointment (15 minutes) $40

Additional fees:

Written letter from one of our Naturopathic Physicians: Base rate of $35

(up to $50 for extensive letters)

Chart transfer fee: $15

(To cover admin time, including the cost of copying, faxing, and mailing charts.)

GLUTEN FREE BANANA BREAD

At our house, we like to prepare at least one 'grab and go' snack for the week. Here is a delicious one for the whole family!

1 1/2 cups almond meal or almond flour

4 eggs

1/4 cup oil

3/4 cup light or dark brown sugar

3 medium bananas, mashed(about 3/4 cup banana puree)

1 teaspoon vanilla extract

3/4 teaspoon cinnamon

1/2 teaspoon nutmeg

3/4 teaspoon baking powder

1/2 teaspoon salt

1/2 cup walnuts(optional)

1/2 cup chocolate chips(optional)

Method:

Preheat your oven to 350 degrees.

In a large bowl, mix together everything besides the walnuts &choco chips. Mix until there are no clumps. Fold the walnuts, chocolate chips, or any other mix-ins you might want into the
batter.

Lightly grease a 5 x 10 or similar sized loaf pan and pour in the batter.

Bake for 55 minutes or until a cake tester inserted in the center comes out clean.

Remove from the oven and let cool completely before slicing.

If your child goes to a nut-free school, substitute the almond flour with pre-mixed gluten free flour. We have also made this without sugar before- soak 6 dates in water for 30 minutes, mix them
in a blender and add to batter.

Happy baking!

Extended Health Claims

Naturopathic medicine is covered by most extended health care plans. We are now able to submit your extended health claim for you at the time of your visit. This can help eliminate
insurance claim paperwork and reduce your out-of-pocket expenses if you are covered by an eligible insurer.